Hybrid HMO Benefits Specialist

Posted 3 weeks ago

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About the role

  • The HMO Benefits Specialist serves as the key interface between members, healthcare providers, and the HMO teams.
  • The role is responsible for accurate processing of member availments, issuance of Letters of Authorization (LOAs), timely call handling, and efficient coordination of inquiries and cases to ensure high-quality service delivery.

Requirements

  • Must be willing to work hybrid in Ortigas
  • Must be willing to do occasional night shifts
  • Familiarity with medical indications for adjudication
  • Prior experience in roles such as medical liaison, provider relations, hospital HMO section staff, company nurse, teleconsult nurse, etc., is advantageous
  • Willingness to conduct hospital visits
  • Proficient problem-solving abilities
  • Curious, results-driven, ownership mentality with growth mindset
  • Excellent verbal and written communications
  • Collaborative team player with the ability to adapt quickly in a fast-paced environment
  • Passion for innovation in healthcare

Benefits

  • comprehensive healthcare coverage for you and your dependent
  • paid time off from the start
  • mentorship, career development, and learning opportunities

Job title

HMO Benefits Specialist

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

No Education Requirement

Location requirements

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